MALCOLM S ROTH (Credential# 151597) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.
MALCOLM S ROTH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0004489. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 33 Saddle Ridge, Bloomfield, CT 06002. The current status is inactive.
| Licensee Name | MALCOLM S ROTH |
| Credential ID | 151597 |
| Credential Number | CSP.0004489 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
33 Saddle Ridge Bloomfield CT 06002 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Effective Date | 2013-03-01 |
| Expiration Date | 2015-02-28 |
| Refresh Date | 2016-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 539668 | 1.010353 | Physician/Surgeon | 1961-03-17 | 2013-02-01 - 2014-01-31 | INACTIVE |
| Street Address | 33 SADDLE RIDGE |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BLOOMFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amy M Roth | 257 New Britain Ave, Unionville, CT 06085-1274 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Toni C Roth | 547 Paxonhallow Rd, Broomell, PA 19008 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Stanley Roth Md | 586 Lake Dr, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Zachary M Roth | 56 Ledgewood Dr East, Weston, CT 06883-1132 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Roth O. Owen Aprn | Po Box 310139, New Braunfels, TX 78131-0139 | Controlled Substance Registration for Practitioner | 2011-03-18 ~ 2013-02-28 |
| Shari Roth Md | 836 Farmington Ave Ste 121, West Hartford, CT 06119 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anne G Roth | 90 Crescent Way, Monroe Township, NJ 08831 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
| Stefanie Z Roth Md | 7 Alden Avenue, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Brandon Roth | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Augusta S Roth | 320 N Stanley Place, Chandler, AZ 85226 | Controlled Substance Registration for Practitioner | 1994-03-10 ~ 1996-04-01 |
Please comment or provide details below to improve the information on MALCOLM S ROTH.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).